Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC INC & REM FB SQ SMPL
Waterloo, IA
See all hospitals reporting CPT 10120 →Price type
Allen Memorial Hospital Corporation’s median price of $267 is 43% below the median hospital's median price ($472), higher than 16% of the 2,522 hospitals reporting CPT 10120. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 25 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $76.09 | $76.09 | $71.82 – $80.36 |
| 2 | Aetna medicare advantage fee schedule · both | $95.72 | $95.72 | $95.72 – $95.72 |
| 3 | Molina medicare advantage fee schedule · both | $97.63 | $97.63 | $97.63 – $97.63 |
| 4 | Wellmark medicare advantage fee schedule · both | $97.63 | $97.63 | $97.63 – $97.63 |
| 5 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $98.66 | $98.66 | $98.66 – $98.66 |
| 6 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $98.66 | $98.66 | $98.66 – $98.66 |
| 7 | Humana medicare advantage fee schedule · both | $100.51 | $100.51 | $100.51 – $100.51 |
| 8 | UnitedHealthcare medicare advantage fee schedule · both | $100.51 | $100.51 | $100.51 – $100.51 |
| 9 | Wellmark commercial fee schedule · both | $189.70 | $189.70 | $189.70 – $189.70 |
| 10 | Wellmark hmo fee schedule · both | $189.70 | $189.70 | $189.70 – $189.70 |
| 11 | Wellmark ppo fee schedule · both | $223.20 | $223.20 | $223.20 – $223.20 |
| 12 | Aetna hmo fee schedule · both | $233.77 | $233.77 | $233.77 – $233.77 |
| 13 | Cigna commercial fee schedule · both | $255.99 | $255.99 | $255.99 – $255.99 |
| 14 | Aetna ppo fee schedule · both | $278.78 | $278.78 | $278.78 – $278.78 |
| 15 | UnitedHealthcare hmo fee schedule · both | $319.21 | $319.21 | $319.21 – $319.21 |
| 16 | UnitedHealthcare ppo fee schedule · both | $319.21 | $319.21 | $319.21 – $319.21 |
| 17 | Aetna medicare advantage case rate · outpatient | $375.73 | $375.73 | $375.73 – $375.73 |
| 18 | Molina medicare advantage case rate · outpatient | $375.73 | $375.73 | $375.73 – $375.73 |
| 19 | Wellmark medicare advantage case rate · outpatient | $375.73 | $375.73 | $375.73 – $375.73 |
| 20 | Humana medicare advantage case rate · outpatient | $386.79 | $386.79 | $386.79 – $386.79 |
| 21 | UnitedHealthcare medicare advantage case rate · outpatient | $386.79 | $386.79 | $386.79 – $386.79 |
| 22 | Aetna hmo fee schedule · outpatient | $887.16 | $887.16 | $887.16 – $887.16 |
| 23 | Aetna ppo fee schedule · outpatient | $923.00 | $923.00 | $923.00 – $923.00 |
| 24 | UnitedHealthcare hmo fee schedule · outpatient | $1,089 | $1,089 | $1,089 – $1,089 |
| 25 | UnitedHealthcare ppo fee schedule · outpatient | $1,089 | $1,089 | $1,089 – $1,089 |
Last updated: Jan 28, 2026
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